Individual
EDWIN KACZENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-3255
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
0202218630
VA
1835I0206X
Infectious Diseases Pharmacist
Primary
066128
NY
1835I0206X
Infectious Diseases Pharmacist
PI161789
MA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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